<!doctype html>
<html class="x-admin-sm">
<head>
    <meta charset="UTF-8">
    <title>CRM金融管理系统</title>
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</head>
<body>
<div class="layui-fluid">
    <div class="layui-row">
        <form class="layui-form">

            <div class="layui-form-item">
                <label  class="layui-form-label">
                    <span class="x-red">*</span>业务名称
                </label>
                <div class="layui-input-inline">
                    <input type="text"  name="chanpin" required="" lay-verify="required" autocomplete="off" class="layui-input" placeholder="">
                </div>
            </div>

            <div class="layui-form-item">
                <label  class="layui-form-label">
                    <span class="x-red">*</span>金额
                </label>
                <div class="layui-input-inline">
                    <input type="text"  name="goumai" required="" lay-verify="required" autocomplete="off" class="layui-input" placeholder="/元">
                </div>
            </div>

            <div class="layui-form-item">
                <label  class="layui-form-label">
                    <span class="x-red">*</span>赔偿金额
                </label>
                <div class="layui-input-inline">
                    <input type="text"  name="peichang" required="" lay-verify="required" autocomplete="off" class="layui-input" placeholder="/元">
                </div>
            </div>

            <div class="layui-form-item">
                <label  class="layui-form-label">
                    <span class="x-red">*</span>期限
                </label>
                <div class="layui-input-inline">
                    <input type="text"  name="qixian" required="" lay-verify="required" autocomplete="off" class="layui-input" placeholder="/年">
                </div>
            </div>

            <div class="layui-form-item">
                <label class="layui-form-label"></label>
                <button class="layui-btn" lay-filter="add" lay-submit="">提交</button></div>
        </form>
    </div>
</div>
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